Kimura Toshihisa, Inoue Tsuyoshi, Katayama Kanji, Hirose Kazuo, Imamura Yoshiaki, Yamaguchi Akio
First Department of Surgery, Fukui Medical University, 23 Shimoaizuki, Matsuoka-cho, Yoshida-gun, Fukui 910-1193, Japan.
Surg Today. 2002;32(7):651-4. doi: 10.1007/s005950200119.
A 77-year-old woman was admitted with intermittent abdominal dull pain. Hypochromic anemia, hypergammaglobulinemia, and elevated C-reactive protein were found in this case. Ultrasonography, computed tomography, magnetic resonance imaging, and angiography indicated either mesenteric leiomyoma or leiomyosarcoma, but no definitive preoperative diagnosis could be established. A surgical resection of the tumor revealed a mesenteric Castleman's tumor with small daughter lymphoid tumors of plasma cell type.
一名77岁女性因间歇性腹部隐痛入院。该病例发现有低色素性贫血、高球蛋白血症和C反应蛋白升高。超声、计算机断层扫描、磁共振成像和血管造影显示为肠系膜平滑肌瘤或平滑肌肉瘤,但术前未能明确诊断。肿瘤手术切除显示为肠系膜Castleman病,伴有小的浆细胞型子淋巴结肿瘤。